PowerPoint Presentation

XRT in skin cancers – postoperative XRT

• Incompletely excised SCC – re-excision vs. post op XRT

• Status of margins – close* (adjuvant XRT) or definitive XRT (margins involved)

• Reduce risk of local recurrence

• No consensus as to which “high risk” patients should be offered: adjuvant XRT to tumour bed SLNB adjuvant XRT to regional lymph nodes (incl. patients treated with definitive XRT to primary)

• Limited evidence in rare skin pathologies

close* - ?definition